Individual
HATTIE JILL FEETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8201 PRESTON RD STE 350, DALLAS, TX 75225-6225
(214) 631-7546
(214) 631-8546
Mailing address
8201 PRESTON RD STE 350, DALLAS, TX 75225-6225
(214) 631-7546
(214) 631-8546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
565428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
565428
TMB ID#
TX
01
—
Q6505
TMB
TX
Enumeration date
05/01/2012
Last updated
07/26/2021
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